The nurse is giving discharge instructions to a patient on the medical-surgical unit. Which patient should be taught about the possibility of an overwhelming infection?
Post chemotherapy
Diagnosed with sickle cell anemia
Diagnosed with multiple myeloma
Post-splenectomy patient
The Correct Answer is D
A. While patients receiving chemotherapy are at risk for infections due to immunosuppression, the risk of overwhelming infection, particularly from encapsulated bacteria, is higher in post-splenectomy patients due to impaired immune function without the spleen.
B. Patients with sickle cell anemia are at increased risk of infections, particularly from encapsulated bacteria, due to functional asplenia or hyposplenism, but the risk of overwhelming infection is highest in post-splenectomy patients.
C. Patients with multiple myeloma are immunocompromised and at increased risk of infections, but they do not have the same risk of overwhelming infection as post- splenectomy patients.
D. Post-splenectomy patients are at highest risk of overwhelming infection due to impaired immune function resulting from the absence of the spleen, which plays a crucial role in immune surveillance and defense against encapsulated bacteria.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Lemon-glycerin swabs can dry out and irritate oral tissues, increasing the risk of oral mucositis and infection.
B. Using a firm toothbrush may be too harsh for irritated mucous membranes and can increase the risk of injury and bleeding.
C. Gentle oral care is essential to avoid further irritation of the mucous membranes.
D. Flossing may be too abrasive for irritated mucous membranes and can increase the risk of bleeding and injury.
Correct Answer is ["B","C","D"]
Explanation
A. Pain is not typically a primary side effect of chemotherapy for acute lymphocytic leukemia.
B. Chemotherapy for acute lymphocytic leukemia often involves high doses to target rapidly dividing cancer cells and induce remission.
C. Chemotherapy for acute lymphocytic leukemia aims to induce remission by destroying cancerous cells in the bone marrow and peripheral blood.
D. Chemotherapy can suppress the immune system, increasing the risk of infections and illness during treatment.
E. Chemotherapy for acute lymphocytic leukemia often involves multiple cycles of treatment, which may include different drugs and frequencies.
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